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Diagnosis and conservative treatment for liver cirrhosis (program ID: 279294)

University Hospital Jena

location_on Jena, Germany
8.9/10 from 69 Votes
Specialized hospital
Andreas Stallmach

Head Physician
Prof. Dr. med.

Andreas Stallmach

Specialized in: gastroenterology, hepatology, infectology

Department of Gastroenterology, Hepatology and Infectology

Program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • biochemical analysis of blood
    • (ALT, AST, GGT, AP, Bilirubin)
    • enzymes and proteins
    • hepatitis serology
    • tumor markers (AFP)
    • inflammation indicators (CRP, ESR)
    • indicators blood coagulation
  • abdominal ultrasound
  • fibroscan (transient elastography)
  • doppler blood vessels of the liver
  • gastroscopy with endoscopic variceal banding
    or sclerotherapy (if indicated)
  • removing fluid with a needle in aszitis (paracentesis)
  • detox therapy
  • consultation of related specialists
  • symptomatic specific treatment
  • the cost of essential medicines and materials
  • nursing services
  • control examinations
  • full hospital accommodation
  • developing of further guidance

 

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About the department

The Department of Gastroenterology, Hepatology and Infectology at the University Hospital Jena offers the full range of diagnostics and treatment for patients with gastrointestinal diseases ranging from the esophagus to the rectum, pancreas, liver, gallbladder and biliary tract. In addition, the treatment of acute and chronic infections is carried out in close cooperation with the specialized Center for Infectious Medicine. The competence also includes the provision of emergency care to patients with all diseases in the field of internal medicine. The clinical practice is based on the use of the very latest technical equipment, innovative treatment methods and high-precision diagnostic options, which in combination with the outstanding professionalism of doctors helps to achieve the best therapy result. The department is headed by Prof. Dr. med. Andreas Stallmach.

As a university medical facility, the department is actively engaged in studying the causes of gastroenterological diseases, particularly chronic inflammatory bowel diseases, Crohn's disease and ulcerative colitis, as well as chronic liver diseases. It conducts a large number of clinical trials, which makes it possible to offer each patient the best treatment options adapted to the particular clinical case. Another ​​research focus is the improvement of early diagnostics using modern endoscopic procedures.

The department is part of the Endoscopy Center (together with the Department of General and Abdominal Surgery), which has the state-of-art medical equipment for all types of endoscopic examinations of the esophagus, stomach, small intestine, biliary tract and pancreas. In addition to the diagnostics, special attention is paid to endoscopic treatment of various diseases of the gastrointestinal tract, liver, pancreas and bile ducts. For example, the department widely uses  endoscopic procedures to stop gastrointestinal hemorrhage, remove polyps (precursors of cancer), esophageal or bile duct stent implantation in case of obstruction of various origins. In addition, the spectrum is complemented by photodynamic therapy (for example, for the treatment of esophageal or bile duct tumors). The endoscopic procedures are sparing treatments (help to avoid surgery), but they are no less effective than traditional interventions.

The department specializes in the diagnostics and treatment of the following diseases:

  • Gastroenterology
    • Chronic inflammatory bowel diseases
    • Gastrointestinal tumors
    • Biliary tract diseases
    • Pancreatic diseases
  • Hepatology
    • Autoimmune liver diseases
    • Infectious liver diseases
    • Toxic liver diseases (especially associated with the effects of alcohol abuse)
    • Iron overload disorders
  • Infectology
    • Infection with multi-resistant pathogens
    • Pneumonia, tuberculosis and other respiratory infections
    • HIV and AIDS
  • Other diseases

The diagnostic and therapeutic range in the field of endoscopy includes:

  • Esophagogastroduodenoscopy
    • Chromo- and video endoscopy
    • Urease short-term test for helicobacter pylori
    • Treatment of esophageal varices using ligation or sclerotherapy
    • Dilatation of benign and malignant stenoses of the esophagus, stomach and upper small intestine
    • Treatment of achalasia cardia using pneumatic dilatation
    • Treatment of bleeding gastrointestinal ulcers using injections, clamps, fibrin glue
    • Mucosectomy in dysplasia/early stages of esophageal and gastric cancer
    • Polypectomy
    • Implantation of metal endoprostheses for the treatment of malignant stenosis of the esophagus, stomach, duodenum
    • Argon plasma and laser coagulation therapy for stenosing or bleeding tumors
    • Deeper duodenal biopsy for the diagnostics of malabsorption syndromes
    • Percutaneous endoscopic gastrostomy
    • Panendoscopy for the diagnostics of hemorrhages or tumors in the jejunum
  • Endoscopic retrograde cholangiopancreatography
    • Video endoscopy
    • Papillotomy
    • Dilatation of benign and malignant stenoses of the biliary tract and pancreatic ducts
    • Implantation of plastic and metal stents in bile duct stenoses
    • Implantation of plastic stents in pancreatic duct stenoses
    • Extraction of stones from the bile ducts and pancreas
  • Colonoscopy
    • Video endoscopy
    • Polypectomy
    • Dilatation of benign and malignant stenoses in inflammatory bowel disease or cancer
    • Argon plasma and laser coagulation therapy for stenosing or bleeding tumors
    • Endoscopic ileal examination
  • Gastroscopy
  • Other medical services

Curriculum vitae

  • 1978 - 1985 Study of Medicine at the Free University of Hamburg.
  • 1983 - 1985 PhD thesis defense with honors, Department of Pediatrics, University Hospital Hamburg-Eppendorf. Subject: "The effect of gliadin fractions on the culture of intestinal cells – the studies of the enterotoxicity and immunogenicity of partial gliadin hydrolysates in the pathogenesis of celiac disease in vitro".
  • 1985 Admission to medical practice.
  • 1985 - 1986 Research Fellow, Department of Internal Medicine with a focus on Gastroenterology (under the guidance of Prof. Dr. med. E.O. Riecken).
  • 1986 - 1988 Research activities within the Research Project funded by the German Research Foundation: "The significance of extracellular matrix in gastrointestinal diseases" and provision of special consultations for patients with chronic inflammatory bowel diseases.
  • 1988 - 1993 Research Fellow, Department of Internal Medicine with a focus on Gastroenterology (under the guidance of Prof. Dr. med. E.O. Riecken).
  • 1993 - 1994 Senior Physician, Department of Internal Medicine with a focus on Gastroenterology (under the guidance of Prof. Dr. med. E.O. Riecken).
  • 11.1993 Habilitation and Venia Legendi in Internal Medicine. Subject: "Expression and function of cell adhesion molecules and their changes during malignant transformation in the colon".
  • Since 1994 Senior Physician in the Department of Internal Medicine II at the University Hospital Saarland.
  • 1994 Election as a Chairman of the German Working Group on Chronic Inflammatory Bowel Diseases (DACED), 1995-1996.
  • 1996 Election to the Admission Board of the German Society for Digestive and Metabolic Diseases (Section on Small and Large Intestine Diseases).
  • 07.1996 - 06.1999 Scholar of the Heisenberg Foundation of the German Research Foundation.
  • 12.1997 Premature assignment of the title of an Extraordinary Professor at the Saar University.
  • Since 01.2001 Leading Senior Physician in the Department of Internal Medicine II at the University Hospital Saarland.
  • 01.2001 Board Member of the Working Group on Rhineland-Palatinate/Saar Gastroenterology (GARPS).
  • 10.2001 Election as a President of the Working Group (for one year) on Rhineland-Palatinate/Saar Gastroenterology (GARPS).
  • 09.2003 - 02.2006 Head of the Department of Gastroenterology, Hepatology and Dietetics, Marienhospital Clinic, Network of Catholic Hospitals Essen-North-West.
  • Head of the Department of Gastroenterology, Hepatology and Infectology at the University Hospital Jena.

Additional Qualifications

  • 30.06.1993 Professional certification in Internal Medicine.
  • 11.01.1996 Specialization in Gastroenterology.
  • 13.11.1996 Theoretical basis of the specialty, X-ray diagnostics in Internal Medicine.
  • 04.11.1997 Theoretical basis of the specialty, laboratory tests in Internal Medicine (1st and 2nd part).
  • Since 04.2002 Recognition as a Medical Specialist in Diabetology (German Diabetes Association).

Research Focuses

  • Function of gut-associated immune system.
  • Chronic inflammatory bowel diseases (Crohn's disease, ulcerative colitis, celiac disease).
  • Innovative endoscopy for the examination of tumors and vascularization of the gastrointestinal tract.

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